支持和反对从事外科手术职业的观点：定性分析。

Arguments for and against a career in surgery: a qualitative analysis.

机构信息

Department of Surgery, St. Claraspital Basel, Basel, Switzerland.

出版信息

Ann Surg. 2010 Aug;252(2):390-6. doi: 10.1097/SLA.0b013e3181e98570.

DOI:10.1097/SLA.0b013e3181e98570

PMID:20647923

Abstract

OBJECTIVE

To evaluate arguments given by board-certified surgeons in Switzerland for and against a career in surgery.

BACKGROUND DATA

Currently, the surgical profession in most Western countries is experiencing a labor shortage because of a declining interest in a surgical career among new graduates, a changed public opinion of medicine and its representatives, and as a consequence of the increasing influence of health economists and politicians on the professional independence of surgeons. Reports that focus primarily on the reasons that board-certified surgeons remain within the surgical profession are rare.

METHODS

Surgeons were asked to answer 2 questions concerning arguments for and against a career in surgery. Of 749 surgeons the arguments of 334 (44.6%) were analyzed using Mayring's content analysis. The surgeons were also asked whether they would choose medicine as a career path again.

RESULTS

The 334 participating surgeons provided 790 statements for and 981 statements against a career in surgery. Fifty-nine surgeons (17.7%) would not choose medicine as a career again. Mayring's content analysis of the statements yielded 10 categories with arguments both for and against a career in surgery. "Personal Experience in Daily Professional Life" (18.7%) was the top-ranked category in favor of a career in surgery, and "Specific Training Conditions" (20%) was the top-ranked category against the choice of such a career. Ordinal logistic regression showed that the category "Personal Experience in Daily Professional Life" (OR, 2.39; 95%CI, 1.13-5.07) was independently associated with again studying medicine, and the category "Work-life Balance" (OR, 0.37; 95%CI, 0.20-0.70) was associated with not studying medicine again.

CONCLUSION

This qualitative study revealed unfavorable working conditions and regulations as surgeons' main complaints. It is concluded that new organizational frameworks and professional perspectives are required to retain qualified and motivated surgeons in the surgical profession.

摘要

目的

评估瑞士认证外科医生对从事外科职业的正反两方面论点。

背景资料

目前，由于新毕业生对外科职业的兴趣下降、公众对医学及其代表的看法发生变化，以及卫生经济学家和政治家对外科医生职业独立性的影响越来越大，大多数西方国家的外科专业都面临劳动力短缺。很少有报告主要关注认证外科医生仍留在外科行业的原因。

方法

要求外科医生回答两个关于从事外科职业正反两方面论点的问题。在 749 名外科医生中，对 334 名（44.6%）的论点使用 Mayring 的内容分析法进行了分析。外科医生还被问到他们是否会再次选择医学作为职业道路。

结果

参与的 334 名外科医生提供了 790 条支持和 981 条反对从事外科职业的陈述。59 名外科医生（17.7%）不会再次选择医学作为职业。Mayring 对陈述的内容分析得出了 10 个类别，这些类别既有支持也有反对从事外科职业的论点。“日常专业生活中的个人经验”（18.7%）是支持从事外科职业的首选类别，而“特定培训条件”（20%）是反对选择此类职业的首选类别。有序逻辑回归显示，“日常专业生活中的个人经验”类别（OR，2.39；95%CI，1.13-5.07）与再次学习医学独立相关，而“工作生活平衡”类别（OR，0.37；95%CI，0.20-0.70）与不再学习医学相关。